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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0770
ICR Reference No:
201112-0920-012
Status:
Historical Active
Previous ICR Reference No:
201103-0920-003
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Title:
National HIV Behavioral Surveillance System
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/21/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/19/2011
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2014
05/31/2014
05/31/2014
Responses
31,668
0
31,668
Time Burden (Hours)
9,932
0
9,932
Cost Burden (Dollars)
0
0
0
Abstract:
This is a change request to submit a revised questionnaire to improve understandability and responses.
Authorizing Statute(s):
US Code:
42 USC 301
Name of Law: Public Health Service Act
US Code:
42 USC 306
Name of Law: Public Health Service Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
NHBS Behavioral Assessment (IDU)
0920-0770, 0920-0770
Attachment 3c Behavioral Assessment (IDU) Spanish version
,
Attachment 2c Behavioral Assessment (IDU) English version
NHBS Behavioral Assessment (MSM)
0920-0770, 0920-0770
Attachment 2b
,
Attachment 3b Behavioral Assessment (MSM) Spanish version
NHBS Behavioral Assessment Survey (HET)
0920-0770, 0920-0770
Attachment 2d Behavioral Assessment (HET) English version
,
Attachment 3d Behavioral Assessment (HET) Spanish version
NHBS Recruiter Debriefing
0920-0770, 0920-0770
Attachment 2e Recruiter Debriefing English version
,
Attachment 3e Recruiter Debrief Spanish version
NHBS Screening (All Respondent Groups)
0920-0770, 0920-0770
Attachment 3a
,
Attachment 2A
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
31,668
31,668
0
0
0
0
Annual Time Burden (Hours)
9,932
9,932
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$12,710,009
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Daniel Holcomb 770 488-4472 dwh6@cdc.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
12/19/2011
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